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City of Manila

UNIVERSIDAD DE MANILA
(Former City College of Manila)
C.M. Palma St., cor. AJ Villegas St.
Mehan Gardens, Manila

STUDENT CLEARANCE FORM

College: _______Semester, School Year_________


Name: Date:

This is to certify that the above student name has been cleared of the following
accountabilities in view of his enrollment this coming _______semester, school year 20__-20__.

Library Department University Registrar

Laboratory Coordinator Security Personnel

Medical/Dental Clinic College Student Council

Office of Student Affairs College Dean

City of Manila
UNIVERSIDAD DE MANILA
(Former City College of Manila)
C.M. Palma St., cor. AJ Villegas St.
Mehan Gardens, Manila

STUDENT CLEARANCE FORM

College: _______Semester, School Year_________


Name: Date:

This is to certify that the above student name has been cleared of the following
accountabilities in view of his enrollment this coming _______semester, school year 20__-20__.

Library Department University Registrar

Laboratory Coordinator Security Personnel

Medical/Dental Clinic College Student Council

Office of Student Affairs College Dean

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